Facility Evaluation Report

Licensing Program Analyst (LPA) Gabriela Castro conducted a Case Management visit to follow up on the Plan of Correction (POC) for outstanding annual licensing fees for St. Matthew Home for the Elderly , Facility #198602197. Per Community Care Licensing (CCL) records, the facility’s last annual fee payment was received on 07/23/2023 .

LPA attempted to meet with the Licensee; however, the Licensee and Administrator were contacted via telephone and informed in detail of the purpose of the visit.

During today’s visit, LPA reviewed the facility’s payment history and observed that past-due annual licensing fees in the amount of $1,484.00 have not been paid. In addition, the Licensee has failed to submit the required Plan of Correction (POC) to the Department by the due date of 12/25/25 .

Due to continued non-compliance, an immediate civil penalty in the amount of $100 per day is hereby assessed for the period of 12/26/25 through 12/29/25 , and will continue to accrue until the violation is corrected. Refer to LIC 421 FC .

An exit interview was conducted. Copies of the report, LIC 421 FC , and Appeal Rights were provided to the Lead Caregiver.